| NPI | 1649209362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANTHONY BOWYER President 863-382-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT16172) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-04-19 |